Average Medicaid Prescription Medications Payments in Bronx, NY: $18.05
Avg. Paid
$18.05
Range
$0.00 – $520.89
Total Claims
416,877
Providers
127
Typical Payment Range
Typical Medicaid Prescription Medications payments fall between $0.68 and $14.54 per claim (median: $2.87). The top 10% of payments exceed $78.92.
Based on per-provider averages across all Medicaid claims in this category.
Prescription drug costs and pharmacy services covered under Medicaid. Includes brand-name and generic medications across all therapeutic categories.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Prescription Medications in Bronx, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Montefiore Medical Center
111 E 210Th St |
$27.94 | 138,695 | 124,751 |
|
Knickerbocker Dialysis Inc
1109 Rosedale Ave |
$0.01 | 30,430 | 2,712 |
|
New York City Health And Hospitals Corporation
1400 Pelham Pkwy S |
$14.05 | 27,581 | 25,687 |
|
New York Renal Associates
3468 Park Ave |
$19.28 | 26,677 | 4,159 |
|
New York City Health And Hospitals Corporation
234 E 149Th St |
$12.06 | 25,551 | 23,138 |
|
Bronxcare Health System
1650 Grand Concourse |
$10.25 | 25,455 | 23,483 |
|
Liberty Rc Inc
3117 Webster Ave |
$0.04 | 21,226 | 1,891 |
|
St. Barnabas Hospital
4422 Third Avenue |
$11.80 | 17,969 | 16,494 |
|
Sun Jin Kim
1250 Waters Place, 11Th Floor |
$5.47 | 6,865 | 6,798 |
|
John A Debello
3201 Grand Concourse |
$2.70 | 5,597 | 4,984 |
|
Knickerbocker Dialysis Inc
459 E 149Th St |
$0.01 | 4,884 | 480 |
|
St. Barnabas Hospital
4451 Third Avenue |
$48.99 | 4,831 | 1,443 |
|
Kalpana A Uday
1650 Grand Concourse |
$20.37 | 4,798 | 652 |
|
Luciano Tuluca
2114 Williamsbridge Rd |
$4.86 | 4,549 | 4,325 |
|
Knickerbocker Dialysis Inc
1940 Webster Ave |
$0.00 | 4,304 | 389 |
|
Yossef Cardozo Blum
1200 Waters Pl Fl 11 |
$5.32 | 4,132 | 4,082 |
|
Konrad Izumi Gruson
1250 Waters Pl |
$4.68 | 2,638 | 2,621 |
|
Montefiore Medical Center
111 E 210Th St |
$8.26 | 2,579 | 2,518 |
|
Jinil Yoo
4141 Carpenter Ave |
$14.27 | 2,531 | 200 |
|
Jonathan Garcia
548 Beach Ave |
$7.57 | 2,500 | 2,416 |
|
Bryan Matthew Elzholz
2008 Eastchester Rd # Level2 |
$18.56 | 2,343 | 2,309 |
|
Evan Michael Schwechter
1250 Waters Pl |
$6.22 | 2,340 | 2,300 |
|
New York City Health And Hospitals Corporation
3424 Kossuth Ave |
$27.14 | 2,229 | 2,148 |
|
Newtown Dialysis Center, Inc
1160 Teller Ave |
$52.51 | 2,194 | 574 |
|
Mark A Hill
3844 E Tremont Ave |
$0.09 | 2,129 | 1,845 |
|
Knickerbocker Dialysis Inc
170 W 233Rd St |
$0.06 | 2,048 | 190 |
|
Fenar Themistocle
1973 University Ave |
$8.18 | 1,958 | 1,943 |
|
Union Community Health Center, Inc.
260 E 188Th St |
$18.03 | 1,918 | 1,914 |
|
Mahendraray B Dave
1650 Selwyn Ave |
$19.31 | 1,806 | 247 |
|
David Gonzalez
Mmc - Orthopedic Surgery |
$4.57 | 1,706 | 1,692 |
|
Workmens Circle Dialysis Management Llc
3155 Grace Ave |
$46.09 | 1,545 | 389 |
|
Urban Health Plan, Inc.
1065 Southern Blvd |
$72.96 | 1,509 | 1,507 |
|
New York City Health And Hospitals Corporation
545 E 142Nd St |
$84.49 | 1,372 | 1,350 |
|
Craig Lomita
3400 Bainbridge Ave |
$6.01 | 1,366 | 1,358 |
|
Roy G Kulick
1250 Water Place |
$6.06 | 1,364 | 1,356 |
|
John Burton Pope
1250 Waters Pl |
$5.77 | 1,346 | 1,329 |
|
Gregory Emili
4626 White Plains Rd |
$7.41 | 1,293 | 1,268 |
|
Montefiore Medical Center
111 E 210Th St |
$0.23 | 1,257 | 1,123 |
|
Knickerbocker Dialysis Inc
1616 Bronxdale Ave |
$4.61 | 1,124 | 111 |
|
Jason Brett Cohen
949 E Tremont Ave |
$8.13 | 1,104 | 964 |
|
Citadel Renal Center Llc
100 W Kingsbridge Rd |
$30.02 | 986 | 259 |
|
New York City Health And Hospitals Corporation
1225 Gerard Ave |
$82.44 | 932 | 928 |
|
Bronxcare Dr. Martin Luther King Jr. Health Center
1265 Franklin Ave |
$1.15 | 919 | 918 |
|
The Children'S Aid Society
910 East 172Nd Street |
$21.14 | 857 | 856 |
|
Morningside Dialysis Center Llc
1000 Pelham Pkwy S |
$50.76 | 716 | 226 |
|
Albert A Panozzo
Mmc-Orthopedic Surgery |
$6.26 | 700 | 691 |
|
Anto Vincetic
3626 E Tremont Ave Ste 102 |
$2.41 | 651 | 633 |
|
Knickerbocker Dialysis Inc
4026 Boston Rd |
$0.00 | 630 | 54 |
|
Ananth Adurthy Shankar
2015 Grand Concourse |
$1.09 | 626 | 579 |
|
Cohava Kasaev-Chanimov
4166A White Plains Rd |
$73.46 | 613 | 611 |
What to Expect: Prescription Medications
Medicaid covers most medically necessary prescription medications. Your copay is typically $0-3 for generic drugs and $0-5 for brand-name drugs. Some medications require prior authorization. Most prescriptions can be filled at any participating pharmacy. Mail-order pharmacy may be available for maintenance medications. 90-day supplies may be available for chronic conditions.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| J1100 | Dexamethasone sodium phos | $3.37 | 17,408,335 | 19,920 |
| J1270 | Injection, doxercalciferol | $16.67 | 15,455,545 | 1,785 |
| J0696 | Ceftriaxone sodium injection | $4.52 | 8,442,343 | 9,869 |
| J1170 | Hydromorphone injection | $3.20 | 6,069,586 | 3,002 |
| J1200 | Diphenhydramine hcl injectio | $3.10 | 5,922,771 | 3,790 |
| J0690 | Cefazolin sodium injection | $5.07 | 4,950,109 | 2,942 |
| J1050 | Medroxyprogesterone acetate | $38.04 | 2,722,661 | 5,740 |
| J0131 | Inj, acetaminophen (nos) | $15.79 | 2,017,135 | 1,612 |
| J1030 | Methylprednisolone 40 mg inj | $5.08 | 1,577,497 | 4,461 |
| J0882 | Darbepoetin alfa, esrd use | $63.10 | 1,115,197 | 646 |
| J1040 | Methylprednisolone 80 mg inj | $6.39 | 1,102,119 | 2,895 |
| J0585 | Injection,onabotulinumtoxina | $534.00 | 949,108 | 1,450 |
| J0702 | Betamethasone acet&sod phosp | $9.01 | 907,372 | 2,580 |
| J0780 | Prochlorperazine injection | $4.11 | 869,130 | 1,089 |
| J0178 | Aflibercept injection | $802.42 | 747,781 | 1,182 |
| J0171 | Adrenalin epinephrine inject | $5.61 | 533,091 | 956 |
| J0897 | Denosumab injection | $708.53 | 175,698 | 394 |
| J1071 | Inj testosterone cypionate | $3.01 | 121,666 | 206 |
| J0636 | Inj calcitriol per 0.1 mcg | $2.19 | 94,974 | 28 |
| J0885 | Epoetin alfa, non-esrd | $82.64 | 88,458 | 179 |
| J1020 | Methylprednisolone 20 mg inj | $3.48 | 88,065 | 344 |
| J0881 | Darbepoetin alfa, non-esrd | $149.52 | 63,199 | 108 |
| J0878 | Daptomycin injection | $167.80 | 55,762 | 36 |
| J1245 | Dipyridamole injection | $5.21 | 54,912 | 138 |
| J0592 | Buprenorphine hydrochloride | $15.56 | 48,440 | 32 |
| J0153 | Adenosine inj 1mg | $18.75 | 46,321 | 143 |
| J0670 | Inj mepivacaine hcl/10 ml | $0.91 | 37,668 | 90 |
| J0129 | Abatacept injection | $1,614 | 34,397 | 89 |
| J0735 | Clonidine hydrochloride | $6.85 | 32,191 | 92 |
| J0610 | Calcium glucon (fresenius) | $9.34 | 31,253 | 88 |
| J0135 | Adalimumab injection | $738.85 | 28,382 | 35 |
| J1094 | Inj dexamethasone acetate | $2.39 | 27,586 | 144 |
| J0717 | Certolizumab pegol inj 1mg | $2,072 | 22,279 | 41 |
| J0697 | Sterile cefuroxime injection | $0.94 | 18,132 | 47 |
| J0256 | Alpha 1 proteinase inhibitor | $2,389 | 16,156 | 1 |
| J1250 | Inj dobutamine hcl/250 mg | $6.92 | 14,579 | 60 |
| J0588 | Incobotulinumtoxin a | $295.98 | 10,950 | 18 |
| J1325 | Epoprostenol injection | $636.33 | 9,713 | 5 |
| J1240 | Dimenhydrinate injection | $0.02 | 8,738 | 12 |
| J1000 | Depo-estradiol cypionate inj | $11.84 | 1,738 | 11 |
| J1230 | Methadone injection | $4.00 | 1,439 | 2 |
| J1212 | Dimethyl sulfoxide 50% 50 ml | $175.32 | 1,145 | 5 |
| J1265 | Dopamine injection | $2.67 | 840 | 1 |
| J0132 | Acetylcysteine injection | $0.11 | 814 | 6 |
| J0834 | Inj., cosyntropin, 0.25 mg | $60.82 | 696 | 6 |
| J1120 | Acetazolamid sodium injectio | $8.30 | 446 | 4 |
| J0713 | Inj ceftazidime per 500 mg | $8.01 | 398 | 5 |
| J0698 | Cefotaxime sodium injection | $0.61 | 371 | 9 |
| J0775 | Collagenase, clost hist inj | $9,463 | 323 | 1 |
| J0207 | Amifostine | $23.74 | 42 | — |
| J0120 | Tetracyclin injection | — | — | — |
| J0133 | Acyclovir injection | — | — | — |
| J0202 | Injection, alemtuzumab | — | — | — |
| J0795 | Corticorelin ovine triflutal | — | — | — |
| J1160 | Digoxin injection | — | — | — |
| J1205 | Chlorothiazide sodium inj | — | — | — |
| J1260 | Dolasetron mesylate | — | — | — |
| J1290 | Ecallantide injection | — | — | — |
| J1300 | Eculizumab injection | — | — | — |
| J1301 | Injection, edaravone, 1 mg | — | — | — |
| J1303 | Inj., ravulizumab-cwvz 10 mg | — | — | — |
| J1305 | Inj, evinacumab-dgnb, 5mg | — | — | — |
| J1320 | Amitriptyline injection | — | — | — |
| J1322 | Elosulfase alfa, injection | — | — | — |
| J1327 | Eptifibatide injection | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Prescription Medications cost in Bronx, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Bronx, NY is $18.05 per claim, based on 416,877 claims from 127 providers. Typical payments fall between $0.68 and $14.54. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Prescription Medications in Bronx, NY?
There are 127 Medicaid providers offering Prescription Medications related services in Bronx, NY according to public payment data.
What is the price range for Prescription Medications in Bronx, NY?
Medicaid reimbursement for Prescription Medications in Bronx, NY ranges from $0.00 to $520.89 per claim, with an average of $18.05. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
Phoenix, AZ
Avg $16.15
844,810 claims · 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims · 88 providers
Washington, DC
Avg $6.48
675,765 claims · 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims · 282 providers
Louisville, KY
Avg $31.67
601,676 claims · 181 providers
New York, NY
Avg $40.26
587,024 claims · 195 providers
San Diego, CA
Avg $27.34
493,429 claims · 162 providers
Tucson, AZ
Avg $24.34
489,015 claims · 169 providers
Other Procedures in Bronx, NY
Home Health Visit
Avg $150.53
23,767,796 claims
Office Visit
Avg $82.40
13,626,712 claims
Blood Work & Lab Tests
Avg $9.72
7,432,399 claims
Substance Abuse Treatment
Avg $38.59
6,144,578 claims
Non-Emergency Medical Transportation
Avg $52.94
4,662,523 claims
Physical Therapy
Avg $33.00
3,372,618 claims
Dental Cleaning & Exam
Avg $31.12
3,317,284 claims
Emergency Room Visit
Avg $138.65
3,278,500 claims